Individual
ERIKA DIANE LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, BOX 356522, SEATTLE, WA 98195-0001
(206) 598-4615
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
122343
NC
207RI0200X
Infectious Disease Physician
MD60268139
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD60268139
WA
208000000X
Pediatrics Physician
122343
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293196
L&I
WA
05
—
1659573343
—
WA
01
—
MD60268139
MEDICAL LICENSE
WA
Enumeration date
06/04/2007
Last updated
08/09/2012
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